Prescott Outpatient Surgical Center Llc

LBN: Prescott Outpatient Surgical Center Llc
Prescott Outpatient Surgical Center Llc is an health care organization with primary practice located at 815 Ainsworth Dr , Prescott AZ 86301-1631. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Prescott Outpatient Surgical Center Llc can be contacted via phone (928) 778-9770, or through Boon, Eric via phone (480) 567-0269.

Contact Information

Primary practice address
815 Ainsworth Dr Prescott AZ 86301-1631
Phone: (928) 778-9770
Fax: (928) 778-9028
Website:
Map and Directions
Authorized official contact:
Name: Boon, Eric
Phone: (480) 567-0269

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X OSC0035 Arizona

Profile Details

NPI number 1083624670
LBN Legal business name Prescott Outpatient Surgical Center Llc
DBA Doing business as
Authorized official Boon, Eric
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2006
Last updated Apr 4th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083624670 NPPES
Arizona MEDICAID 061482

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